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Hypertension Is Related to Positive Global Sagittal Alignment: A Cross-Sectional Cohort Study
STUDY DESIGN: Cross-sectional cohort study. PURPOSE: This study aimed to investigate the relationship between hypertension and spino-pelvic sagittal alignment in middle-aged and elderly individuals. OVERVIEW OF LITERATURE: Positive global sagittal alignment is associated with poor health-related qua...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Spine Surgery
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6894975/ https://www.ncbi.nlm.nih.gov/pubmed/31281177 http://dx.doi.org/10.31616/asj.2018.0308 |
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author | Arima, Hideyuki Togawa, Daisuke Hasegawa, Tomohiko Yamato, Yu Yoshida, Go Kobayashi, Sho Yasuda, Tatsuya Banno, Tomohiro Oe, Shin Mihara, Yuki Ushirozako, Hiroki Hoshino, Hironobu Matsuyama, Yukihiro |
author_facet | Arima, Hideyuki Togawa, Daisuke Hasegawa, Tomohiko Yamato, Yu Yoshida, Go Kobayashi, Sho Yasuda, Tatsuya Banno, Tomohiro Oe, Shin Mihara, Yuki Ushirozako, Hiroki Hoshino, Hironobu Matsuyama, Yukihiro |
author_sort | Arima, Hideyuki |
collection | PubMed |
description | STUDY DESIGN: Cross-sectional cohort study. PURPOSE: This study aimed to investigate the relationship between hypertension and spino-pelvic sagittal alignment in middle-aged and elderly individuals. OVERVIEW OF LITERATURE: Positive global sagittal alignment is associated with poor health-related quality of life. Hypertension is associated with tissue microcirculation disorders of the skeletal muscle. We hypothesized that hypertension may be involved in positive global sagittal alignment. METHODS: In this institutional review board-approved study, 655 participants (262 men and 393 women; mean age, 72.9 years; range, 50–92 years) who underwent musculoskeletal screening in Toei town, Aichi, Japan were included. Whole spine and pelvic radiographs were taken, and radiographic parameters (thoracic kyphosis, lumbar lordosis, pelvic tilt, sacral slope, pelvic incidence, and sagittal vertical axis [SVA]) were measured using an image-analysis software. Hypertension was assessed using the standard criteria. The study participants were divided into three subgroups as per age (50–64 years, 65–74 years, and ≥75 years). We examined the differences in the radiographic parameters of those with and without hypertension in each age subgroup. RESULTS: In each age subgroup, there was no significant difference in the age and sex of those with and without hypertension. SVA was significantly shifted forward in the hypertension group than in the non-hypertension group in those aged 50–64 years old (32.4 mm vs. 16.0 mm, p=0.018) and in those aged 65–74 years old (42.7 mm vs. 30.6 mm, p=0.012). There was no significant difference between the hypertension and non-hypertension groups in terms of the alignment of the lumbar and thoracic spine in all the subgroups. In multivariate analysis, hypertension was a significant independent factor of forward-shifted SVA (standardized beta 0.093, p=0.015). CONCLUSIONS: This study showed that hypertension was associated with forward-shifted global sagittal alignment. |
format | Online Article Text |
id | pubmed-6894975 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Korean Society of Spine Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-68949752019-12-11 Hypertension Is Related to Positive Global Sagittal Alignment: A Cross-Sectional Cohort Study Arima, Hideyuki Togawa, Daisuke Hasegawa, Tomohiko Yamato, Yu Yoshida, Go Kobayashi, Sho Yasuda, Tatsuya Banno, Tomohiro Oe, Shin Mihara, Yuki Ushirozako, Hiroki Hoshino, Hironobu Matsuyama, Yukihiro Asian Spine J Clinical Study STUDY DESIGN: Cross-sectional cohort study. PURPOSE: This study aimed to investigate the relationship between hypertension and spino-pelvic sagittal alignment in middle-aged and elderly individuals. OVERVIEW OF LITERATURE: Positive global sagittal alignment is associated with poor health-related quality of life. Hypertension is associated with tissue microcirculation disorders of the skeletal muscle. We hypothesized that hypertension may be involved in positive global sagittal alignment. METHODS: In this institutional review board-approved study, 655 participants (262 men and 393 women; mean age, 72.9 years; range, 50–92 years) who underwent musculoskeletal screening in Toei town, Aichi, Japan were included. Whole spine and pelvic radiographs were taken, and radiographic parameters (thoracic kyphosis, lumbar lordosis, pelvic tilt, sacral slope, pelvic incidence, and sagittal vertical axis [SVA]) were measured using an image-analysis software. Hypertension was assessed using the standard criteria. The study participants were divided into three subgroups as per age (50–64 years, 65–74 years, and ≥75 years). We examined the differences in the radiographic parameters of those with and without hypertension in each age subgroup. RESULTS: In each age subgroup, there was no significant difference in the age and sex of those with and without hypertension. SVA was significantly shifted forward in the hypertension group than in the non-hypertension group in those aged 50–64 years old (32.4 mm vs. 16.0 mm, p=0.018) and in those aged 65–74 years old (42.7 mm vs. 30.6 mm, p=0.012). There was no significant difference between the hypertension and non-hypertension groups in terms of the alignment of the lumbar and thoracic spine in all the subgroups. In multivariate analysis, hypertension was a significant independent factor of forward-shifted SVA (standardized beta 0.093, p=0.015). CONCLUSIONS: This study showed that hypertension was associated with forward-shifted global sagittal alignment. Korean Society of Spine Surgery 2019-12 2019-07-09 /pmc/articles/PMC6894975/ /pubmed/31281177 http://dx.doi.org/10.31616/asj.2018.0308 Text en Copyright © 2019 by Korean Society of Spine Surgery This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Arima, Hideyuki Togawa, Daisuke Hasegawa, Tomohiko Yamato, Yu Yoshida, Go Kobayashi, Sho Yasuda, Tatsuya Banno, Tomohiro Oe, Shin Mihara, Yuki Ushirozako, Hiroki Hoshino, Hironobu Matsuyama, Yukihiro Hypertension Is Related to Positive Global Sagittal Alignment: A Cross-Sectional Cohort Study |
title | Hypertension Is Related to Positive Global Sagittal Alignment: A Cross-Sectional Cohort Study |
title_full | Hypertension Is Related to Positive Global Sagittal Alignment: A Cross-Sectional Cohort Study |
title_fullStr | Hypertension Is Related to Positive Global Sagittal Alignment: A Cross-Sectional Cohort Study |
title_full_unstemmed | Hypertension Is Related to Positive Global Sagittal Alignment: A Cross-Sectional Cohort Study |
title_short | Hypertension Is Related to Positive Global Sagittal Alignment: A Cross-Sectional Cohort Study |
title_sort | hypertension is related to positive global sagittal alignment: a cross-sectional cohort study |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6894975/ https://www.ncbi.nlm.nih.gov/pubmed/31281177 http://dx.doi.org/10.31616/asj.2018.0308 |
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